NURS 5308; I HUMAN CASE STUDY KRISTA HAMPTON
Instructions: Type patient encounter information directly into each box of the template similarly to your case studies.
CC: 25 y/o F HPI: Ms. Hampton is a 25 y/o female presenting with an itchy and tender
“I have this ugly looking rash on my upper thighs” rash bilaterally on her inner thighs, and her left inner forearm. The rash
started about 36 hours ago after hiking in Napa with her boyfriend. She states
she spent time hiking, tried a new sunscreen, tried new foods such as scallops
and a new drink, as well as spending time in the hot tub with her boyfriend.
She reports that her boyfriend does not have similar symptoms, and that she
has not tried any treatments for the rash.
PMHx: SurgHx
Child: “usual coughs and tummy ache nothing
Medical: None
remarkable.”
Surgical: None
Adult Illness: Denies
Obstetric: None
Hospitalizations: None
,FamHx SHx
Maternal grandfather died of CVD at age 81.
Grandmother (age 88) has prior heart attack, stent
Tobacco: Denies
and HTN.
ETOH: Socially
Mother alive and well.
Illicit Drugs: Denies
Father alive and well, treated for HTN.
Occupation: English teacher for 7th and 8th grade
Brothers - 35 and 32 both alive and well.
Sister - 21 alive and well.
, Relationship: Sexually active heterosexual female in a
monogamous relationship
Diet: Normal American Diet
Reproductive Hx Allergies
Age of menarche: “doesn’t remember.” Ceclor (Cefaclor) second generation cephalosporin – Patient developed hives
Menstruation cycle duration: “seems fine to me,” as child when taking this antibiotic for otitis media
regular periods
Sexual hx and concerns: Denies concerns List of Current Medications/supplements: Birth control
LMP: unknown pill Supplements: None
Breast screening: Conducts self-breast exams
Last Pap Smear: 1 year ago, with no signs of
abnormalities
Gravida para status/Childbirth hx:
Nulliparous
Instructions: Type patient encounter information directly into each box of the template similarly to your case studies.
CC: 25 y/o F HPI: Ms. Hampton is a 25 y/o female presenting with an itchy and tender
“I have this ugly looking rash on my upper thighs” rash bilaterally on her inner thighs, and her left inner forearm. The rash
started about 36 hours ago after hiking in Napa with her boyfriend. She states
she spent time hiking, tried a new sunscreen, tried new foods such as scallops
and a new drink, as well as spending time in the hot tub with her boyfriend.
She reports that her boyfriend does not have similar symptoms, and that she
has not tried any treatments for the rash.
PMHx: SurgHx
Child: “usual coughs and tummy ache nothing
Medical: None
remarkable.”
Surgical: None
Adult Illness: Denies
Obstetric: None
Hospitalizations: None
,FamHx SHx
Maternal grandfather died of CVD at age 81.
Grandmother (age 88) has prior heart attack, stent
Tobacco: Denies
and HTN.
ETOH: Socially
Mother alive and well.
Illicit Drugs: Denies
Father alive and well, treated for HTN.
Occupation: English teacher for 7th and 8th grade
Brothers - 35 and 32 both alive and well.
Sister - 21 alive and well.
, Relationship: Sexually active heterosexual female in a
monogamous relationship
Diet: Normal American Diet
Reproductive Hx Allergies
Age of menarche: “doesn’t remember.” Ceclor (Cefaclor) second generation cephalosporin – Patient developed hives
Menstruation cycle duration: “seems fine to me,” as child when taking this antibiotic for otitis media
regular periods
Sexual hx and concerns: Denies concerns List of Current Medications/supplements: Birth control
LMP: unknown pill Supplements: None
Breast screening: Conducts self-breast exams
Last Pap Smear: 1 year ago, with no signs of
abnormalities
Gravida para status/Childbirth hx:
Nulliparous
